Leonardo S Fernandez, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

25MA03012100 Issued in NJ

Legal business name

LEONARDO S FERNANDEZ, LLC

Practice address

21 Cambridge Rd
Holmdel, NJ 07733-2078

Phone

(732) 500-1561

Fax

(732) 332-0415

NPI assigned

Jul 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Leonardo Sequera Fernandez, M.D.NPI 1649352717

Title

President

Phone

(732) 500-1561

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonardo Sequera Fernandez, MD

  • Surgery Physician
  • Holmdel, NJ
  • NPI 1649352717
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188000000000",
    "number": "1013117423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CAMBRIDGE RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332078",
            "telephone_number": "732-500-1561",
            "fax_number": "732-332-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CAMBRIDGE RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332078",
            "telephone_number": "732-500-1561",
            "fax_number": "732-332-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARDO S FERNANDEZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-08-25",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_middle_name": "SEQUERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-500-1561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA03012100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasim Lasemi, DMD, MS
• Gloria K Lau, PT
• Leaps & Bounds Pediatric Physical Therapy of Holmdel, LLC
• CHI I Lee
• Robert G Lehman, D.C.
• Lisa Robyn Levine-Rostowsky, OTR/L
• Liberty Med Associates LLC
• Liberty Pain Care LLC
• Lee Marc Lichtenstein, DMD
• Hannah M. Lidberg, APRN, FNP-BC, CNOR

• Clinic/Center in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.